Progress or Plateaus

Most people will encounter plateaus at some point during a consistent training program. Learn more about what plateaus are and what to do when they arise in this article written by Jeff Gilliam, PhD, PT and published on physicaltherapist.com. For more questions call us 619-756-7500!

 

So often we see such great progress as we begin our weight loss program, pushing onward to our goal at a jackrabbit pace, only to be met with a discouraging plateau. When plateaus are experienced, our first response should be, “Am I doing everything possible to encourage my progress? Am I following through with the program as it’s been designed”??? If our answer is “Yes!” then our next question should be, what has happened to slow my progress, and what can I do to ensure continued progress toward my goal?

During weight loss programs, momentary plateaus are an absolute. Plateaus occur as the body loses weight and no longer requires the same amount of calories to run its basic bodily functions and daily activities. No longer are you carrying around 10, 20, or 30 extra pounds during daily activities, which means fewer calories are being expended now, than when you started the program. Also, whenever you go on a caloric restricted diet, your body becomes very efficient in running its basic bodily functions, and requires fewer calories for the Resting Metabolic Rate (RMR). Lastly, during weight loss programs, typically 25% of the weight loss is from lean body mass, while approximately 75% is from fat. The likelihood of muscle loss is increased when resistance training does not accompany a weight loss program. Maintaining muscle is a key to ensuring that the RMR continues to expend energy at a high rate, subsequently burning calories at a level that will allow for continued weight loss.

When plateaus arise, modifications in your program will be necessary to ensure ongoing progress. Increases in your exercise intensity/time are often required, and a close examination of your food choices may be necessary. In order to offset this trend, it may be necessary to increase your exercise output (an increase in exercise time and/or intensity) making sure resistance training is a part of your routine. Additionally, making sure your protein intakes are optimal will spare lean body mass loss during caloric restriction. The importance of protein in a weight loss program is highlighted by a recent study which found when subjects on an ad lib diet increased their protein intake to 30%, they ate 441 fewer calories each day, lost more weight, and experienced greater feelings of satiety than the lower protein group. Remember at your current weight you’re expending fewer calories at rest than when you started your weight loss journey, which means you must continue to make better food choices to encourage your body to continue to lose excess body fat.

These changes should cause your body to increase its fat burning capacity and is often affective in “recharging” the system and renewing weight loss at an acceptable level. During times in which you experience a plateau in your weight loss, strategic shifts toward better food choices and avoiding those occasional food temptations will allow you to realize ongoing progress. The use of daily exercise to boost your metabolism has been shown to be helpful in offsetting a depression in the RMR.

Remember: Plateaus are only momentary pauses in our progress that will soon be relinquished by making the appropriate adjustments in our dietary and exercise regimens.

How can fitness professionals encourage seniors to strength train?

With increasing age, your body’s ability to absorb calcium decreases, which unfortunately causes an increased risk for osteoporosis. Strength training can help counter bone degradation! Come see us at San Diego Sports Physical Therapy for your strength and rehabilitation needs! 619-756-7500

Frame strength training as solving a problem.
Identify why the senior needs more strength. In the examples above, Dan doesn’t want to give up golf – it’s an important part of his life. For Jan, the fitness professional will want to probe further; studies have shown seniors may not be swayed by health problems alone. Does she want to travel? Baby-sit her grandchildren? Linking enjoyable life activities to getting stronger provides the motivation to overcome fear and inertia.

Measure progress in “real life” ways.
Continually go back to the senior’s goals and every day activities. Is it easier to bring in the groceries? Are they navigating stairs better? How’s the golf or tennis game? The best part of working with seniors is the rapid gains they make to improve the quality of their lives. They’ll share them with you gleefully!
Strength Program Design Tips for Seniors

Keep it simple.
Design strength training programs with just a few exercises for major muscle groups. Explain the exercises fully and why the senior is performing them. For example, explain that a seated row will strengthen their upper back muscles (rhomboids) which will improve their posture and have the added benefit of improving their appearance!

Strength Program Design Tips for Seniors
Take it slow.
Have the senior perform all exercises slowly. Watch their form and make corrections gently and politely (“please and thank you” are appreciated). Give positive feedback for keeping correct form. Use the same exercises for several sessions so your clients understand them well and get a sense of mastery and control.

Keep strength training to 10 – 30 minutes.
Many seniors have fears of being in pain and getting exhausted. You can relieve those fears by explaining to the senior that strength training is not painful but requires focus and precision to get results. Therefore, they’ll be performing the exercises for 20 -30 minutes – and they can stop at any time if they feel pain. Develop balance, flexibility and cardiovascular exercises if you need to provide an hour session.

The fitness professional’s main goal when working with seniors is to build trust. Trust is extremely important to seniors. They want an expert on making them stronger as well as someone who cares about them and their goals. Celebrate their progress, even small victories, and you’ll have a friend for life. Share your experiences or insights from training seniors in the comments below.

Betsy LaMond is an ACSM Certified Personal Trainer and owner of BoomerFit Cape Cod, Fitness Center for Boomers and Seniors located at 947 Main St, Route 6A, Yarmouthport, MA, BoomerFitCapeCod.com. She teaches Mature Adult Fitness at Cape Cod Community College and provides fitness presentations on boomer and senior fitness to senior organizations.

WHY IS STRETCHING AFTER WORKING OUT IMPORTANT?

A: This is a great question because it addresses the importance not only of practicing stretching but also the best and safest technique for performing this valuable type of exercise.

Why stretch? Stretching increases flexibility, a key component of physical fitness that is often neglected. A greater degree of flexibility is believed to help prevent injury (and low back pain) and improve sports performance. We lose flexibility as we age, so practicing a regular program of stretching the major muscle groups can help prevent loss of flexibility and its associated negative impact on quality of life in our golden years.

Stretching properly involves a slow, steady elongation of the muscles and tendons to the point of tightness—never pain—and holding the stretch for several seconds. (Never use bouncing or ballistic-type stretching, which can cause injury.) It is best to stretch muscles that have been warmed up internally from exercise as opposed to cold muscles. In fact, stretching cold muscles can actually increase risk of injury, as a cold muscle is more prone to strains! Think of a muscle as if it were a rubber band. If you stretch cold rubber, it snaps and breaks; however, if you warm the rubber first, it stretches more elastically and fluidly, like taffy.

Stretching is different from “warming up.” A warm-up is what you do before you begin a bout of exercise and generally consists of a low-intensity version of the exercise you are planning on engaging in (such as a fast walk before a jog). A good exercise routine would be to warm up (work up a light sweat and raise the internal temperature of your muscles), followed by a series of brief stretches, then perform your exercise bout, warm down and end with another series of stretches. Practice this plan and you will have a well-rounded fitness routine.

Posted by Dr. Janet Brill

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